| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,406 |
2,321 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,758 |
4,473 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,891 |
1,865 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,428 |
4,008 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
717 |
698 |
$58K |
| 90677 |
|
505 |
484 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
227 |
$21K |
| 90461 |
|
2,684 |
2,455 |
$11K |
| 99381 |
|
69 |
63 |
$5K |
| 87430 |
|
262 |
217 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
151 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$791.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
27 |
$695.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$145.32 |
| 90698 |
|
1,237 |
1,196 |
$27.90 |
| 90744 |
|
596 |
581 |
$0.00 |
| 90680 |
|
1,201 |
1,167 |
$0.00 |
| 90686 |
|
644 |
631 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,184 |
1,157 |
$0.00 |
| 90633 |
|
448 |
439 |
$0.00 |
| 90710 |
|
312 |
310 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90700 |
|
62 |
62 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |